Individual
SANDRA PAULETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 RUTLEDGE LN, JASPER, AL 35503-6309
(251) 604-6387
Mailing address
1605 RUTLEDGE LN, JASPER, AL 35503-6309
(251) 604-6387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03907
AL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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